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MRS. NICOLE MARIE CLARK M.S. R.D.
NPI 1720312820
Dietitian, Registered in Warren, PA

Active since September 23, 2009
2 CRESCENT PARK WEST, NUTRITION SERVICES, WARREN, PA 16365(814) 723-4973 Get Directions Write a Review

NPPES record last updated: September 23, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Nicole Marie Clark M.s. R.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. NICOLE MARIE CLARK M.S. R.D. (NPI 1720312820) is an individual dietitian, registered in Warren, Pennsylvania, licensed in New York (1004345) and active in the NPI registry since September 2009.

NPPES Registry Identity

NPI1720312820
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMRS. NICOLE MARIE CLARKCredential: M.S. R.D.
Location Address2 CRESCENT PARK WEST, NUTRITION SERVICESWarren, PA 16365
Mailing Address2 Crescent Park West, Nutrition ServicesWarren, PA 16365 · (814) 723-4973
Phone(814) 723-4973
Sole ProprietorNo
Enumeration DateSeptember 23, 2009
✔ NPI 1720312820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in NY · 1004345
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
Also ListedDietary ManagerTaxonomy 132700000X
2 CRESCENT PARK WEST, Warren, PA 16365
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Other Names 1

Former Name (1)Miss Nicole Marie Sorce M.s. R.d.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MELISSA LUANNE CARTER DO
Emergency Medicine
2 CRESCENT PARK WEST
WARREN, PA 16365
Warren County (814) 723-2510
ANDREA LEIGH SHENE ATC
Specialist/Technologist (Athletic Trainer)
2 CRESCENT PARK WEST, WARREN GENERAL HOSPITAL
WARREN, PA 16365
Warren County (814) 723-3300
JESSICA S SHEPHERD DO
Emergency Medicine
2 CRESCENT PARK WEST, WARREN EMERGENCY ROOM
WARREN, PA 16365
Warren County (814) 723-2510
DR. GREGORY G PIERSON MD
Emergency Medicine
2 CRESCENT PARK WEST
WARREN, PA 16365
Warren County (814) 723-2510
KAMIE DEE REPINE CRNP
Nurse Practitioner
2 CRESCENT PARK WEST, WARREN FACULTY SPECIALISTS
WARREN, PA 16365
Warren County (814) 723-3300
GROUP MEDICAL SERVICES
General Practice
2 CRESCENT PARK WEST
WARREN, PA 16365
Warren County (814) 723-3300
MICHAEL WELLINGTON FAULK MD
Emergency Medicine
2 CRESCENT PARK WEST
WARREN, PA 16365
Warren County (814) 723-2510

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Clark's NPI number?

The NPI number for Nicole Clark is 1720312820. It was assigned to this individual provider in the NPPES registry on September 23, 2009. The provider is also known as Miss Nicole Marie Sorce M.S. R.D..

Where is Nicole Clark located?

Nicole Clark practices at 2 Crescent Park West Nutrition Services, Warren, PA 16365. The listed phone number is (814) 723-4973.

What is Nicole Clark's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

When was this NPI record last updated?

The NPPES record for Nicole Clark was last updated on September 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.